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A Study to Evaluate a Single Intravenous Dose of Motavizumab for the Treatment of Children Hospitalized With Respiratory Syncytial Virus (RSV) Illness

A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate a Single Intravenous Dose of Motavizumab (MEDI-524), a Humanized Enhanced Potency Monoclonal Antibody Against Respiratory Syncytial Virus (RSV), for the Treatment of Children Hospitalized With RSV Illness

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00421304
Enrollment
118
Registered
2007-01-11
Start date
2007-01-10
Completion date
2009-09-17
Last updated
2021-08-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

RSV Illness in ≤12 Months of Participants

Keywords

Respiratory Syncytial Virus illness, RSV

Brief summary

The primary objective of this study is to describe the effect of a single dose of medication compared to placebo in the upper respiratory tract in previously healthy children less than or equal to 12 months of age who are hospitalized with lower respiratory tract illness.

Detailed description

The primary objective of this study is to describe the effect of a single 30 mg/kg or 100 mg/kg intravenous (IV) dose of Motavizumab compared to placebo on study drug levels and viral load as measured by cultivatable virus and real-time reverse transcriptase-polymerase chain reaction (RT-PCR) in the upper respiratory tract in previously healthy children ≤12 months of age who are hospitalized with lower respiratory tract illness.

Interventions

BIOLOGICALMotavizumab

A single IV dose of motavizumab 30 mg/kg or 100 mg/kg will be administered on Day 0 of the study.

OTHERPlacebo

A single IV dose of placebo matched to motavizumab will be administered on Day 0 of the study.

Sponsors

MedImmune LLC
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
0 Months to 12 Months
Healthy volunteers
No

Inclusion criteria

Children must meet all of the following criteria: * Previously healthy * Age less or equal to 12 months at the time of randomization * Gestational age more or equal to 36 weeks * Hospitalized for lower respiratory tract illness (i.e., RSV bronchiolitis and/or pneumonia) * Documented positive RSV test within 48 hours prior to randomization * Randomization within 12 hours of the decision to hospitalize a child for RSV illness * Written informed consent obtained from the participant's parent(s)/legal guardian

Exclusion criteria

Children must have none of the following: * Prior receipt of or receiving ribavirin or other anti-viral treatment for the current episode of RSV infection prior to randomization * Any use of systemic or inhaled steroids within the past 30 days prior to randomization * Intubation for ventilatory support at randomization * Any medically significant underlying ongoing chronic illness or organ system dysfunction, or other known acute illness except for RSV infection * Known renal impairment, hepatic dysfunction, hematologic abnormalities, seizure or other neurologic disorder or immunodeficiency * Requirement for supplemental oxygen at any time prior to the current RSV infection (brief use of oxygen in the immediate postnatal period to treat a transient condition is allowed) * Mechanical ventilation at any time prior to the onset of the current RSV infection * Congenital heart disease \[children with medically or surgically closed patent ductus arteriosis (PDA), small atrial septal defect (ASD) or small ventricular septal defect (VSD) will be allowed\] * Previous reaction to IVIG, blood products, or other foreign proteins * Prior use of intravenous immunoglobulin (IVIG), palivizumab (SynagisÒ), or other immunoglobulin products within the past 2 months * Currently receiving other investigational agents or have received any other investigational agents within the 3 months prior to randomization * Prior or current participation in any investigational study with a therapeutic agent or vaccine for RSV

Design outcomes

Primary

MeasureTime frameDescription
Respiratory Syncytial Virus (RSV) Load in the Upper Respiratory Tract as Measured by Quantitative Real Time Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) at Day 0Day 0The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children less than or equal to (\<=12) months of age who are hospitalized with lower respiratory tract illness.
RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 1Day 1The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.
RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 2Day 2The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.
RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 3Day 3The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.
RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 4Day 4The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.
RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 5Day 5The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.
RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 6Day 6The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.
RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 7Day 7The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.
RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 30Day 30The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.
RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 90Day 90The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.
RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 180Day 180The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.
Motavizumab Concentration in Nasal Wash Aspirates at Day 0Day 0Motavizumab concentration in nasal wash aspirates is reported.
Motavizumab Concentration in Nasal Wash Aspirates at Day 1Day 1Motavizumab concentration in nasal wash aspirates is reported.
Motavizumab Concentration in Nasal Wash Aspirates at Day 2Day 2Motavizumab concentration in nasal wash aspirates is reported.
Motavizumab Concentration in Nasal Wash Aspirates at Day 7Day 7Motavizumab concentration in nasal wash aspirates is reported.
Motavizumab Concentration in Nasal Wash Aspirates at Day 30Day 30Motavizumab concentration in nasal wash aspirates is reported.

Secondary

MeasureTime frameDescription
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)From the start of study drug (Day 0) through Day 90An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. The TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug.
Duration of RSV HospitalizationFrom Randomization Day (Day 0) to Discharge Day (up to Day 30)Duration of RSV hospitalization is reported.
Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEsFrom the start of study drug (Day 0) through Day 30
Respiratory Assessment Change Score (RACS) Derived From BaselineBaseline (Day 0), Days 1, 2, 3, 7, and 30The RACS assesses changes in wheezing and retractions as measured by respiratory distress assessment instrument (RDAI) score and changes in respiratory rate. A RDAI score is a measure of the degree of severity of wheezing and retractions, with score range from 0 to 17; higher scores indicate more severe disease. Respiratory rate is summarized by raw scores and standardized change score. A change in respiratory rate of less than or equal to (\<=) 5% from baseline is counted as a change of 0 units and a change in respiratory rate is assigned 1 point per each 10% change in the respiratory rate. The RACS is calculated as arithmetic sum of RDAI score change and of standardized respiratory rate change (for example, a child showing improvement who had a RDAI of -5 and a respiratory rate change of -2 would have a RACS score of -7). The RACS assessment does not have a minimum and/or maximum scale range. A decrease in RACS represents improvement, whereas an increase signifies deterioration.
Oxygen Saturation Level During RSV HospitalizationDays 0, 1, 2, 3, 7, and 30Oxygen saturation level during RSV hospitalization is reported.
Heart Rate During RSV HospitalizationDays 0, 1, 2, 3, 7, and 30Heart rate during RSV hospitalization is reported.
Respiratory Rate During RSV HospitalizationDays 0, 1, 2, 3, 7, and 30Respiratory rate during RSV hospitalization is reported.
Number of Participants With Supplemental Oxygen Use During RSV HospitalizationFrom Randomization Day (Day 0) to Discharge Day (up to Day 30)Number of participants with supplemental oxygen use during RSV hospitalization is reported.
Duration of Supplemental Oxygen Use During RSV HospitalizationFrom Randomization Day (Day 0) to Discharge Day (up to Day 30)Duration of supplemental oxygen use during RSV hospitalization is reported.
Number of Participants on Mechanical Ventilation During RSV HospitalizationFrom Randomization Day (Day 0) to Discharge Day (up to Day 30)Number of participants on mechanical ventilation during RSV hospitalization is reported.
Duration of Mechanical Ventilation During RSV HospitalizationFrom Randomization Day (Day 0) to Discharge Day (up to Day 30)Duration of mechanical ventilation during RSV hospitalization is reported.
Number of Participants Admitted to the Intensive Care Unit (ICU)From Randomization Day (Day 0) to Discharge Day (up to Day 30)Number of participants admitted to ICU is reported.
Duration of ICU Stay During RSV HospitalizationFrom Randomization Day (Day 0) to Discharge Day (up to Day 30)Duration of ICU stay during RSV hospitalization is reported.
Number of Participants With Medically-attended Wheezing EpisodesFrom randomization (Day 0) through Day 360 (approximately 12 months)Wheezing episodes are considered medically-attended wheezing episodes if the medical care provider verifies and documents wheezing in the medical record or, in the case of hospitalization, the medical care provider assigns a discharge diagnosis of asthma, bronchiolitis, wheezing, or reactive airway disease. A new wheezing episode is the one that occurs for more than 2 weeks after the diagnosis of the previous episode and the medical opinion is that the wheezing does not represent a persistence of the previous episode. Medically-attended wheezing episodes were calculated and reported in the range of 0 to 9 events.
Serum Concentration of MotavizumabDays 1, 7, 90, 180, and 360Motavizumab concentration in serum is reported.
Number of Participants With Detectable Anti-motavizumab AntibodiesDays 0, 180, and 360Number of participants with detectable anti-motavizumab antibodies are reported. Detection is defined as an anti-motavizumab antibody titer with a dilution value of 1:30 or greater.
Change From Baseline in Serum Cytokine LevelsBaseline (Day 0, pre-dose) through Day 360
Change From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsBaseline (Day 0, pre-dose) through Day 180Change from baseline in upper respiratory tract (nasal wash) cytokine levels are reported.

Countries

Australia, Chile, New Zealand, Panama, United States

Participant flow

Participants by arm

ArmCount
Placebo
Participants received a single intravenous (IV) dose of placebo matched to motavizumab on Day 0 of the study.
40
Motavizumab 30 mg/kg
Participants received a single IV dose of motavizumab 30 mg/kg on Day 0 of the study.
39
Motavizumab 100 mg/kg
Participants received a single IV dose of motavizumab 100 mg/kg on Day 0 of the study.
39
Total118

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyDid not attend Day 360 visit001
Overall StudyLost to Follow-up525
Overall StudyMistakenly randomized, chose not to participate in study100
Overall StudyWithdrawal by Subject222

Baseline characteristics

CharacteristicPlaceboMotavizumab 30 mg/kgMotavizumab 100 mg/kgTotal
Age, Continuous3.72 Months
STANDARD_DEVIATION 2.9
3.07 Months
STANDARD_DEVIATION 2.62
3.47 Months
STANDARD_DEVIATION 2.98
3.42 Months
STANDARD_DEVIATION 2.83
Ethnicity (NIH/OMB)
Hispanic or Latino
29 Participants35 Participants32 Participants96 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
11 Participants4 Participants7 Participants22 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants1 Participants1 Participants2 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
5 Participants2 Participants2 Participants9 Participants
Race (NIH/OMB)
More than one race
3 Participants0 Participants0 Participants3 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants10 Participants9 Participants24 Participants
Race (NIH/OMB)
White
26 Participants26 Participants27 Participants79 Participants
Sex: Female, Male
Female
11 Participants19 Participants19 Participants49 Participants
Sex: Female, Male
Male
29 Participants20 Participants20 Participants69 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 370 / 380 / 38
other
Total, other adverse events
30 / 3722 / 3824 / 38
serious
Total, serious adverse events
6 / 376 / 387 / 38

Outcome results

Primary

Motavizumab Concentration in Nasal Wash Aspirates at Day 0

Motavizumab concentration in nasal wash aspirates is reported.

Time frame: Day 0

Population: Evaluable population for pharmacokinetics (PK) included all participants who received a full dose of study drug. Participants with adequate motavizumab concentration in nasal wash aspirates at Day 0 were analyzed for the outcome.

ArmMeasureValue (MEAN)Dispersion
PlaceboMotavizumab Concentration in Nasal Wash Aspirates at Day 00.93 ng/mLStandard Deviation 5.72
Motavizumab 30 mg/kgMotavizumab Concentration in Nasal Wash Aspirates at Day 00.00 ng/mLStandard Deviation 0
p-value: 1Wilcoxon's rank-sum test
Primary

Motavizumab Concentration in Nasal Wash Aspirates at Day 1

Motavizumab concentration in nasal wash aspirates is reported.

Time frame: Day 1

Population: Evaluable population for PK included all participants who received a full dose of study drug. Participants with adequate motavizumab concentration in nasal wash aspirates at Day 1 were analyzed for the outcome.

ArmMeasureValue (MEAN)Dispersion
PlaceboMotavizumab Concentration in Nasal Wash Aspirates at Day 14673.3 ng/mLStandard Deviation 5397.4
Motavizumab 30 mg/kgMotavizumab Concentration in Nasal Wash Aspirates at Day 110087 ng/mLStandard Deviation 10242
p-value: 0.05Wilcoxon's rank-sum test
Primary

Motavizumab Concentration in Nasal Wash Aspirates at Day 2

Motavizumab concentration in nasal wash aspirates is reported.

Time frame: Day 2

Population: Evaluable population for PK included all participants who received a full dose of study drug. Participants with adequate motavizumab concentration in nasal wash aspirates at Day 2 were analyzed for the outcome.

ArmMeasureValue (MEAN)Dispersion
PlaceboMotavizumab Concentration in Nasal Wash Aspirates at Day 22341.2 ng/mLStandard Deviation 2928.4
Motavizumab 30 mg/kgMotavizumab Concentration in Nasal Wash Aspirates at Day 27436.7 ng/mLStandard Deviation 10321
p-value: 0.008Wilcoxon's rank-sum test
Primary

Motavizumab Concentration in Nasal Wash Aspirates at Day 30

Motavizumab concentration in nasal wash aspirates is reported.

Time frame: Day 30

Population: Evaluable population for PK included all participants who received a full dose of study drug. Participants with adequate motavizumab concentration in nasal wash aspirates at Day 30 were analyzed for the outcome.

ArmMeasureValue (MEAN)Dispersion
PlaceboMotavizumab Concentration in Nasal Wash Aspirates at Day 30431.21 ng/mLStandard Deviation 597.6
Motavizumab 30 mg/kgMotavizumab Concentration in Nasal Wash Aspirates at Day 301934.5 ng/mLStandard Deviation 3055.6
p-value: <0.001Wilcoxon's rank-sum test
Primary

Motavizumab Concentration in Nasal Wash Aspirates at Day 7

Motavizumab concentration in nasal wash aspirates is reported.

Time frame: Day 7

Population: Evaluable population for PK included all participants who received a full dose of study drug. Participants with adequate motavizumab concentration in nasal wash aspirates at Day 7 were analyzed for the outcome.

ArmMeasureValue (MEAN)Dispersion
PlaceboMotavizumab Concentration in Nasal Wash Aspirates at Day 7966.37 ng/mLStandard Deviation 1016
Motavizumab 30 mg/kgMotavizumab Concentration in Nasal Wash Aspirates at Day 72464.2 ng/mLStandard Deviation 2788
p-value: 0.012Wilcoxon's rank-sum test
Primary

Respiratory Syncytial Virus (RSV) Load in the Upper Respiratory Tract as Measured by Quantitative Real Time Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) at Day 0

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children less than or equal to (\<=12) months of age who are hospitalized with lower respiratory tract illness.

Time frame: Day 0

Population: The ITT population included all participants who were randomized in the study. Participants with adequate baseline samples and who tested positive for RSV at Day 0 were analyzed for this outcome.

ArmMeasureValue (MEAN)Dispersion
PlaceboRespiratory Syncytial Virus (RSV) Load in the Upper Respiratory Tract as Measured by Quantitative Real Time Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) at Day 08.13 log10 copies/mLStandard Deviation 0.73
Motavizumab 30 mg/kgRespiratory Syncytial Virus (RSV) Load in the Upper Respiratory Tract as Measured by Quantitative Real Time Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) at Day 08.05 log10 copies/mLStandard Deviation 1.22
Motavizumab 100 mg/kgRespiratory Syncytial Virus (RSV) Load in the Upper Respiratory Tract as Measured by Quantitative Real Time Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) at Day 08.15 log10 copies/mLStandard Deviation 0.86
p-value: 0.218Wilcoxon's rank-sum test
p-value: 0.643Wilcoxon's rank-sum test
p-value: 0.677Wilcoxon's rank-sum test
Primary

RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 1

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.

Time frame: Day 1

Population: The ITT population included all participants who were randomized in the study. Participants with adequate baseline samples and who tested positive for RSV at Day 1 were analyzed for this outcome.

ArmMeasureValue (MEAN)Dispersion
PlaceboRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 17.61 log10 copies/mLStandard Deviation 0.86
Motavizumab 30 mg/kgRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 17.54 log10 copies/mLStandard Deviation 1.26
Motavizumab 100 mg/kgRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 17.40 log10 copies/mLStandard Deviation 1.26
p-value: 0.257Wilcoxon's rank-sum test
p-value: 0.726Wilcoxon's rank-sum test
p-value: 0.551Wilcoxon's rank-sum test
Primary

RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 180

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.

Time frame: Day 180

Population: The ITT population included all participants who were randomized in the study. Participants with adequate baseline samples and who tested positive for RSV at Day 180 were analyzed for this outcome.

ArmMeasureValue (MEAN)Dispersion
PlaceboRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 1802.68 log10 copies/mLStandard Deviation 0.95
Motavizumab 30 mg/kgRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 1802.52 log10 copies/mLStandard Deviation 0.09
Motavizumab 100 mg/kgRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 1802.50 log10 copies/mLStandard Deviation 0
p-value: 0.742Wilcoxon's rank-sum test
p-value: 0.486Wilcoxon's rank-sum test
p-value: 0.49Wilcoxon's rank-sum test
Primary

RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 2

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.

Time frame: Day 2

Population: The ITT population included all participants who were randomized in the study. Participants with adequate baseline samples and who tested positive for RSV at Day 2 were analyzed for this outcome.

ArmMeasureValue (MEAN)Dispersion
PlaceboRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 26.95 log10 copies/mLStandard Deviation 1.21
Motavizumab 30 mg/kgRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 26.68 log10 copies/mLStandard Deviation 1.21
Motavizumab 100 mg/kgRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 26.59 log10 copies/mLStandard Deviation 1.35
p-value: 0.591Wilcoxon's rank-sum test
p-value: 0.393Wilcoxon's rank-sum test
p-value: 0.586Wilcoxon's rank-sum test
Primary

RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 3

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.

Time frame: Day 3

Population: The ITT population included all participants who were randomized in the study. Participants with adequate baseline samples and who tested positive for RSV at Day 3 were analyzed for this outcome.

ArmMeasureValue (MEAN)Dispersion
PlaceboRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 36.12 log10 copies/mLStandard Deviation 1.15
Motavizumab 30 mg/kgRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 36.11 log10 copies/mLStandard Deviation 1.26
Motavizumab 100 mg/kgRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 35.95 log10 copies/mLStandard Deviation 1.46
p-value: 0.894Wilcoxon's rank-sum test
p-value: 0.674Wilcoxon's rank-sum test
p-value: 0.636Wilcoxon's rank-sum test
Primary

RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 30

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.

Time frame: Day 30

Population: The ITT population included all participants who were randomized in the study. Participants with adequate baseline samples and who tested positive for RSV at Day 30 were analyzed for this outcome.

ArmMeasureValue (MEAN)Dispersion
PlaceboRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 303.03 log10 copies/mLStandard Deviation 1.11
Motavizumab 30 mg/kgRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 303.05 log10 copies/mLStandard Deviation 1.33
Motavizumab 100 mg/kgRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 302.96 log10 copies/mLStandard Deviation 1.08
p-value: 0.988Wilcoxon's rank-sum test
p-value: 0.832Wilcoxon's rank-sum test
p-value: 0.748Wilcoxon's rank-sum test
Primary

RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 4

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.

Time frame: Day 4

Population: The ITT population included all participants who were randomized in the study. Participants with adequate baseline samples, who tested positive for RSV at Day 4 were analyzed for this outcome.

ArmMeasureValue (MEAN)Dispersion
PlaceboRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 46.00 log10 copies/mLStandard Deviation 0.58
Motavizumab 30 mg/kgRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 45.76 log10 copies/mLStandard Deviation 0.82
Motavizumab 100 mg/kgRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 45.41 log10 copies/mLStandard Deviation 1.44
p-value: 0.397Wilcoxon's rank-sum test
p-value: 0.238Wilcoxon's rank-sum test
p-value: 0.461Wilcoxon's rank-sum test
Primary

RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 5

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.

Time frame: Day 5

Population: The ITT population included all participants who were randomized in the study. Participants with adequate baseline samples, who tested positive for RSV at Day 5 were analyzed for this outcome.

ArmMeasureValue (MEAN)Dispersion
PlaceboRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 55.52 log10 copies/mLStandard Deviation 0.68
Motavizumab 30 mg/kgRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 55.26 log10 copies/mLStandard Deviation 1.2
Motavizumab 100 mg/kgRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 55.31 log10 copies/mLStandard Deviation 1.94
p-value: 0.322Wilcoxon's rank-sum test
p-value: 0.747Wilcoxon's rank-sum test
p-value: 0.717Wilcoxon's rank-sum test
Primary

RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 6

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.

Time frame: Day 6

Population: The ITT population included all participants who were randomized in the study. Participants with adequate baseline samples, who tested positive for RSV at Day 6 were analyzed for this outcome.

ArmMeasureValue (MEAN)Dispersion
PlaceboRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 65.63 log10 copies/mLStandard Deviation 0.91
Motavizumab 30 mg/kgRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 65.25 log10 copies/mLStandard Deviation 1.58
Motavizumab 100 mg/kgRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 65.60 log10 copies/mLStandard Deviation 2.08
p-value: 0.847Wilcoxon's rank-sum test
p-value: 1Wilcoxon's rank-sum test
p-value: 1Wilcoxon's rank-sum test
Primary

RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 7

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.

Time frame: Day 7

Population: The ITT population included all participants who were randomized in the study. Participants with adequate baseline samples and who tested positive for RSV at Day 7 were analyzed for this outcome.

ArmMeasureValue (MEAN)Dispersion
PlaceboRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 74.86 log10 copies/mLStandard Deviation 1.45
Motavizumab 30 mg/kgRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 74.73 log10 copies/mLStandard Deviation 1.27
Motavizumab 100 mg/kgRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 74.52 log10 copies/mLStandard Deviation 1.7
p-value: 0.653Wilcoxon's rank-sum test
p-value: 0.283Wilcoxon's rank-sum test
p-value: 0.411Wilcoxon's rank-sum test
Primary

RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 90

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.

Time frame: Day 90

Population: The ITT population included all participants who were randomized in the study. Participants with adequate baseline samples and who tested positive for RSV at Day 90 were analyzed for this outcome.

ArmMeasureValue (MEAN)Dispersion
PlaceboRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 902.66 log10 copies/mLStandard Deviation 0.7
Motavizumab 30 mg/kgRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 902.55 log10 copies/mLStandard Deviation 0.29
Motavizumab 100 mg/kgRSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 902.50 log10 copies/mLStandard Deviation 0
p-value: 0.28Wilcoxon's rank-sum test
p-value: 0.108Wilcoxon's rank-sum test
p-value: 1Wilcoxon's rank-sum test
Secondary

Change From Baseline in Serum Cytokine Levels

Time frame: Baseline (Day 0, pre-dose) through Day 360

Population: RSV evaluable population included all participants who were RSV positive at Study Day 0 by real-time RT-PCR. Participants with adequate cytokine levels were analyzed for this outcome.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Serum Cytokine LevelsIFN gamma induced protein 10 (IP-10): Day 360-1089.184 Picograms per millilitre (pg/mL)Standard Deviation 1711.708
PlaceboChange From Baseline in Serum Cytokine LevelsIL12 P70: Day 360-10.633 Picograms per millilitre (pg/mL)Standard Deviation 49.32
PlaceboChange From Baseline in Serum Cytokine LevelsIL-1 receptor antagonist (RA): Day 360-266.925 Picograms per millilitre (pg/mL)Standard Deviation 502.65
PlaceboChange From Baseline in Serum Cytokine LevelsIFN alpha: Day 360-23.980 Picograms per millilitre (pg/mL)Standard Deviation 121.625
PlaceboChange From Baseline in Serum Cytokine LevelsIL13: Day 360-0.779 Picograms per millilitre (pg/mL)Standard Deviation 8.086
PlaceboChange From Baseline in Serum Cytokine LevelsIL-8: Day 360-20.059 Picograms per millilitre (pg/mL)Standard Deviation 19.79
PlaceboChange From Baseline in Serum Cytokine LevelsInterferon (IFN) gamma: Day 360-65.424 Picograms per millilitre (pg/mL)Standard Deviation 258.871
PlaceboChange From Baseline in Serum Cytokine LevelsIL-15: Day 360-4.999 Picograms per millilitre (pg/mL)Standard Deviation 14.377
PlaceboChange From Baseline in Serum Cytokine LevelsIl-5: Day 3601.045 Picograms per millilitre (pg/mL)Standard Deviation 4.661
PlaceboChange From Baseline in Serum Cytokine LevelsGranulocyte macrophage -CSF: Day 360-54.862 Picograms per millilitre (pg/mL)Standard Deviation 185.534
PlaceboChange From Baseline in Serum Cytokine LevelsIL-17: Day 3602.067 Picograms per millilitre (pg/mL)Standard Deviation 16.207
PlaceboChange From Baseline in Serum Cytokine LevelsInterleukin-1(IL-1) beta: Day 360-3.005 Picograms per millilitre (pg/mL)Standard Deviation 12.043
PlaceboChange From Baseline in Serum Cytokine LevelsGranulocyte-colony stimulating factor (G-CSF):D360-98.351 Picograms per millilitre (pg/mL)Standard Deviation 192.339
PlaceboChange From Baseline in Serum Cytokine LevelsEotaxin: Day 360-8.790 Picograms per millilitre (pg/mL)Standard Deviation 138.692
PlaceboChange From Baseline in Serum Cytokine LevelsRantes: Day 360783.389 Picograms per millilitre (pg/mL)Standard Deviation 2664.67
PlaceboChange From Baseline in Serum Cytokine LevelsBasic fibroblast growth factor: Day (D) 3601.886 Picograms per millilitre (pg/mL)Standard Deviation 34.663
PlaceboChange From Baseline in Serum Cytokine LevelsIL-6: Day 360-41.180 Picograms per millilitre (pg/mL)Standard Deviation 72.12
PlaceboChange From Baseline in Serum Cytokine LevelsVascular endothelial growth factor (VEGF): Day 360-17.908 Picograms per millilitre (pg/mL)Standard Deviation 135.254
PlaceboChange From Baseline in Serum Cytokine LevelsPlatelet-derived growth factor (PDGF)-BB: Day 3603461.665 Picograms per millilitre (pg/mL)Standard Deviation 5874.913
PlaceboChange From Baseline in Serum Cytokine LevelsIL-7: Day 360-1.328 Picograms per millilitre (pg/mL)Standard Deviation 7.797
PlaceboChange From Baseline in Serum Cytokine LevelsIL-2: Day 360-7.881 Picograms per millilitre (pg/mL)Standard Deviation 30.34
PlaceboChange From Baseline in Serum Cytokine LevelsMIP-1 beta: Day 360-1.950 Picograms per millilitre (pg/mL)Standard Deviation 105.553
PlaceboChange From Baseline in Serum Cytokine LevelsMonokine induced by gamma(MIG): Day 3601046.002 Picograms per millilitre (pg/mL)Standard Deviation 2735.42
PlaceboChange From Baseline in Serum Cytokine LevelsMacrophage inflammatory protein (MIP)-1 alpha:D3600.604 Picograms per millilitre (pg/mL)Standard Deviation 7.309
PlaceboChange From Baseline in Serum Cytokine LevelsIL-9: Day 36058.378 Picograms per millilitre (pg/mL)Standard Deviation 308.184
PlaceboChange From Baseline in Serum Cytokine LevelsTumor necrosis factor (TNF) alpha: Day 360-17.112 Picograms per millilitre (pg/mL)Standard Deviation 62.119
PlaceboChange From Baseline in Serum Cytokine LevelsMonocyte chemoattractant protein-1: Day 360-75.818 Picograms per millilitre (pg/mL)Standard Deviation 96.097
PlaceboChange From Baseline in Serum Cytokine LevelsIL-10: Day 360-11.407 Picograms per millilitre (pg/mL)Standard Deviation 21.458
PlaceboChange From Baseline in Serum Cytokine LevelsIL4: Day 360-0.717 Picograms per millilitre (pg/mL)Standard Deviation 5.733
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsRantes: Day 3602946.934 Picograms per millilitre (pg/mL)Standard Deviation 8074.666
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsInterleukin-1(IL-1) beta: Day 3600.48 Picograms per millilitre (pg/mL)Standard Deviation 2.442
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsIL-1 receptor antagonist (RA): Day 360-107.834 Picograms per millilitre (pg/mL)Standard Deviation 201.74
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsIL-2: Day 3600.446 Picograms per millilitre (pg/mL)Standard Deviation 7.604
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsIL4: Day 3602.187 Picograms per millilitre (pg/mL)Standard Deviation 8.596
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsIl-5: Day 3600.763 Picograms per millilitre (pg/mL)Standard Deviation 1.817
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsIL-6: Day 360-24.305 Picograms per millilitre (pg/mL)Standard Deviation 61.462
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsIL-7: Day 3600.691 Picograms per millilitre (pg/mL)Standard Deviation 5.094
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsIL-8: Day 360-18.323 Picograms per millilitre (pg/mL)Standard Deviation 25.204
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsIL-9: Day 360-45.673 Picograms per millilitre (pg/mL)Standard Deviation 188.92
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsIL-10: Day 360-6.924 Picograms per millilitre (pg/mL)Standard Deviation 7.927
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsIL12 P70: Day 3602.660 Picograms per millilitre (pg/mL)Standard Deviation 18.759
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsIL13: Day 3601.744 Picograms per millilitre (pg/mL)Standard Deviation 3.244
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsIL-15: Day 360-0.402 Picograms per millilitre (pg/mL)Standard Deviation 1.473
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsIL-17: Day 3608.056 Picograms per millilitre (pg/mL)Standard Deviation 24.954
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsEotaxin: Day 36036.955 Picograms per millilitre (pg/mL)Standard Deviation 118.098
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsBasic fibroblast growth factor: Day (D) 360-1.342 Picograms per millilitre (pg/mL)Standard Deviation 6.92
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsGranulocyte-colony stimulating factor (G-CSF):D360-91.782 Picograms per millilitre (pg/mL)Standard Deviation 184.339
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsGranulocyte macrophage -CSF: Day 360-7.439 Picograms per millilitre (pg/mL)Standard Deviation 26.842
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsInterferon (IFN) gamma: Day 3609.164 Picograms per millilitre (pg/mL)Standard Deviation 91.58
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsIFN alpha: Day 36012.281 Picograms per millilitre (pg/mL)Standard Deviation 67.767
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsIFN gamma induced protein 10 (IP-10): Day 360-1028.280 Picograms per millilitre (pg/mL)Standard Deviation 1105.987
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsMonocyte chemoattractant protein-1: Day 360-52.910 Picograms per millilitre (pg/mL)Standard Deviation 84.827
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsMacrophage inflammatory protein (MIP)-1 alpha:D3600.689 Picograms per millilitre (pg/mL)Standard Deviation 2.485
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsMIP-1 beta: Day 36043.061 Picograms per millilitre (pg/mL)Standard Deviation 121.617
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsPlatelet-derived growth factor (PDGF)-BB: Day 3604377.256 Picograms per millilitre (pg/mL)Standard Deviation 6050.996
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsTumor necrosis factor (TNF) alpha: Day 360-2.676 Picograms per millilitre (pg/mL)Standard Deviation 29.385
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsVascular endothelial growth factor (VEGF): Day 360-33.293 Picograms per millilitre (pg/mL)Standard Deviation 125.224
Motavizumab 30 mg/kgChange From Baseline in Serum Cytokine LevelsMonokine induced by gamma(MIG): Day 3601086.786 Picograms per millilitre (pg/mL)Standard Deviation 1246.951
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsIL-2: Day 360108.245 Picograms per millilitre (pg/mL)Standard Deviation 445.422
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsIFN alpha: Day 360194.351 Picograms per millilitre (pg/mL)Standard Deviation 835.999
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsIL-10: Day 3603.786 Picograms per millilitre (pg/mL)Standard Deviation 75.604
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsInterleukin-1(IL-1) beta: Day 36048.943 Picograms per millilitre (pg/mL)Standard Deviation 236.734
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsIFN gamma induced protein 10 (IP-10): Day 360-460.829 Picograms per millilitre (pg/mL)Standard Deviation 2216.789
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsIL-9: Day 360-48.034 Picograms per millilitre (pg/mL)Standard Deviation 204.545
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsTumor necrosis factor (TNF) alpha: Day 360403.443 Picograms per millilitre (pg/mL)Standard Deviation 1918.152
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsMonocyte chemoattractant protein-1: Day 36017.128 Picograms per millilitre (pg/mL)Standard Deviation 376.408
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsIL-8: Day 360-21.440 Picograms per millilitre (pg/mL)Standard Deviation 20.033
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsIL-1 receptor antagonist (RA): Day 360-171.278 Picograms per millilitre (pg/mL)Standard Deviation 599.988
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsMacrophage inflammatory protein (MIP)-1 alpha:D360-31.042 Picograms per millilitre (pg/mL)Standard Deviation 182.639
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsIL-7: Day 3604.305 Picograms per millilitre (pg/mL)Standard Deviation 36.131
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsMonokine induced by gamma(MIG): Day 3602465.946 Picograms per millilitre (pg/mL)Standard Deviation 7714.076
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsMIP-1 beta: Day 360-1.354 Picograms per millilitre (pg/mL)Standard Deviation 235.052
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsIL-6: Day 360118.469 Picograms per millilitre (pg/mL)Standard Deviation 524.68
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsVascular endothelial growth factor (VEGF): Day 360-39.069 Picograms per millilitre (pg/mL)Standard Deviation 87.616
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsEotaxin: Day 360202.122 Picograms per millilitre (pg/mL)Standard Deviation 728.741
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsPlatelet-derived growth factor (PDGF)-BB: Day 3603631.464 Picograms per millilitre (pg/mL)Standard Deviation 9603.609
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsBasic fibroblast growth factor: Day (D) 3606.593 Picograms per millilitre (pg/mL)Standard Deviation 34.509
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsIL-17: Day 3601.092 Picograms per millilitre (pg/mL)Standard Deviation 22.159
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsIl-5: Day 3600.774 Picograms per millilitre (pg/mL)Standard Deviation 8.296
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsGranulocyte-colony stimulating factor (G-CSF):D360-42.870 Picograms per millilitre (pg/mL)Standard Deviation 108.678
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsIL-15: Day 36033.618 Picograms per millilitre (pg/mL)Standard Deviation 139.355
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsIL4: Day 3605.394 Picograms per millilitre (pg/mL)Standard Deviation 30.426
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsGranulocyte macrophage -CSF: Day 360964.242 Picograms per millilitre (pg/mL)Standard Deviation 4386.145
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsIL13: Day 3609.893 Picograms per millilitre (pg/mL)Standard Deviation 54.188
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsRantes: Day 360793.431 Picograms per millilitre (pg/mL)Standard Deviation 2672.889
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsInterferon (IFN) gamma: Day 360464.277 Picograms per millilitre (pg/mL)Standard Deviation 2027.072
Motavizumab 100 mg/kgChange From Baseline in Serum Cytokine LevelsIL12 P70: Day 36048.765 Picograms per millilitre (pg/mL)Standard Deviation 239.216
Secondary

Change From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine Levels

Change from baseline in upper respiratory tract (nasal wash) cytokine levels are reported.

Time frame: Baseline (Day 0, pre-dose) through Day 180

Population: RSV evaluable population included all participants who were RSV positive at Study Day 0 by real-time RT-PCR. Participants with adequate nasal wash cytokine levels at specified time points were analysed for this outcome.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIl-10: Day 180-55.412 pg/mLStandard Deviation 65.437
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-4: Day 180-1.761 pg/mLStandard Deviation 3.09
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIFN gamma: Day180-5754.670 pg/mLStandard Deviation 27853.042
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-12 P70: Day 180-52.927 pg/mLStandard Deviation 60.597
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsPDGF-BB: Day 180-95.616 pg/mLStandard Deviation 197.836
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsGM-CSF: Day 180-86.359 pg/mLStandard Deviation 139.214
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-13: Day 180-54.573 pg/mLStandard Deviation 151.8
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-1 RA: Day 180-91761.764 pg/mLStandard Deviation 268797.553
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsG-CSF:Day 180-3547.084 pg/mLStandard Deviation 7428.81
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-15: Day 180-4.018 pg/mLStandard Deviation 17.009
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsRantes: Day 180-244.749 pg/mLStandard Deviation 971.092
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsBasic FGF: Day 180-82.364 pg/mLStandard Deviation 125.246
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-17: Day 180-22.557 pg/mLStandard Deviation 27.252
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-5: Day 180-0.077 pg/mLStandard Deviation 1.865
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsEotaxin: Day180-16.905 pg/mLStandard Deviation 140.534
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-1 beta: Day 180-2607.852 pg/mLStandard Deviation 6378.263
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsMIP-1 beta: Day 180-924.715 pg/mLStandard Deviation 913.488
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-6: Day 180-1139.081 pg/mLStandard Deviation 1061.467
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsVEGF: Day 180-1167.204 pg/mLStandard Deviation 1698.618
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsMIP-1 alpha: Day 180-81.063 pg/mLStandard Deviation 106.178
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-7: Day 180-6.553 pg/mLStandard Deviation 26.065
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-2: Day 180-0.849 pg/mLStandard Deviation 14.116
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsMCP-1: Day 180-510.596 pg/mLStandard Deviation 821.385
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-8: Day 180-26762.935 pg/mLStandard Deviation 83539.52
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsMIG: Day 180-42371.446 pg/mLStandard Deviation 124818.988
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIP-10: Day 1802907.151 pg/mLStandard Deviation 14396.032
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-9: Day 180-32.899 pg/mLStandard Deviation 40.569
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsTNF alpha: Day 180-1489.621 pg/mLStandard Deviation 3190.856
PlaceboChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIFN alpha: Day180-59.346 pg/mLStandard Deviation 413.227
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-12 P70: Day 180-54.300 pg/mLStandard Deviation 55.463
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsG-CSF:Day 180-3732.054 pg/mLStandard Deviation 9873.369
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-1 beta: Day 180-2575.906 pg/mLStandard Deviation 3423.519
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-1 RA: Day 180-97050.821 pg/mLStandard Deviation 200487.75
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-2: Day 180-1.215 pg/mLStandard Deviation 10.959
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-4: Day 180-1.897 pg/mLStandard Deviation 2.939
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-5: Day 180-0.351 pg/mLStandard Deviation 7.077
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-6: Day 180-930.388 pg/mLStandard Deviation 1730.515
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-7: Day 180-20.954 pg/mLStandard Deviation 48.39
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-8: Day 180-20794.797 pg/mLStandard Deviation 30409.576
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-9: Day 180-48.923 pg/mLStandard Deviation 57.492
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIl-10: Day 180-65.522 pg/mLStandard Deviation 107.589
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-13: Day 180-59.583 pg/mLStandard Deviation 116.696
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-15: Day 180-7.107 pg/mLStandard Deviation 14.202
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-17: Day 180-31.352 pg/mLStandard Deviation 25.301
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsEotaxin: Day180-42.034 pg/mLStandard Deviation 90.948
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsBasic FGF: Day 180-149.153 pg/mLStandard Deviation 267.861
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsGM-CSF: Day 180-79.592 pg/mLStandard Deviation 119.261
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIFN gamma: Day180-3026.337 pg/mLStandard Deviation 13551.38
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIFN alpha: Day180-95.529 pg/mLStandard Deviation 442.959
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIP-10: Day 180-21562.675 pg/mLStandard Deviation 94358.228
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsMCP-1: Day 180-336.373 pg/mLStandard Deviation 230.303
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsMIP-1 alpha: Day 180-79.610 pg/mLStandard Deviation 100.858
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsMIP-1 beta: Day 180-921.287 pg/mLStandard Deviation 770.658
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsPDGF-BB: Day 180-90.821 pg/mLStandard Deviation 192.864
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsRantes: Day 180-789.419 pg/mLStandard Deviation 3136.828
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsTNF alpha: Day 180-1038.889 pg/mLStandard Deviation 1660.82
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsVEGF: Day 180-1118.459 pg/mLStandard Deviation 1365.524
Motavizumab 30 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsMIG: Day 180-6693.146 pg/mLStandard Deviation 25633.807
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-9: Day 180-45.623 pg/mLStandard Deviation 85.438
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsRantes: Day 180-194.783 pg/mLStandard Deviation 493.671
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIFN alpha: Day180-15.090 pg/mLStandard Deviation 240.549
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-8: Day 180-8610.260 pg/mLStandard Deviation 14715.271
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-2: Day 180-0.458 pg/mLStandard Deviation 9.316
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIP-10: Day 180-15729.066 pg/mLStandard Deviation 93210.658
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-7: Day 180-18.219 pg/mLStandard Deviation 58.02
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-1 beta: Day 180-1772.376 pg/mLStandard Deviation 3150.626
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsMCP-1: Day 180-317.251 pg/mLStandard Deviation 532.157
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-6: Day 180-551.482 pg/mLStandard Deviation 676.661
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsTNF alpha: Day 180-610.185 pg/mLStandard Deviation 1129.565
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsMIP-1 alpha: Day 180-54.416 pg/mLStandard Deviation 96.391
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-5: Day 1801.732 pg/mLStandard Deviation 7.974
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-1 RA: Day 180-69391.250 pg/mLStandard Deviation 127840.986
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsMIP-1 beta: Day 180-824.330 pg/mLStandard Deviation 1063.855
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-17: Day 180-25.215 pg/mLStandard Deviation 36.297
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsMIG: Day 180-25881.359 pg/mLStandard Deviation 110834.744
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsEotaxin: Day180-23.358 pg/mLStandard Deviation 78.999
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-15: Day 180-5.039 pg/mLStandard Deviation 15.169
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsPDGF-BB: Day 180-55.547 pg/mLStandard Deviation 127.111
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsBasic FGF: Day 180-117.656 pg/mLStandard Deviation 183.542
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-13: Day 180-43.758 pg/mLStandard Deviation 93.016
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsG-CSF:Day 180-112.012 pg/mLStandard Deviation 9701.76
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-12 P70: Day 180-40.912 pg/mLStandard Deviation 64.739
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIL-4: Day 180-1.435 pg/mLStandard Deviation 3.571
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsGM-CSF: Day 180-79.668 pg/mLStandard Deviation 157.497
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIl-10: Day 180-37.755 pg/mLStandard Deviation 60.765
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsVEGF: Day 180-700.258 pg/mLStandard Deviation 1154.582
Motavizumab 100 mg/kgChange From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine LevelsIFN gamma: Day180-2755.333 pg/mLStandard Deviation 15534.906
Secondary

Duration of ICU Stay During RSV Hospitalization

Duration of ICU stay during RSV hospitalization is reported.

Time frame: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

Population: RSV evaluable population included all participants who were RSV positive at Study Day 0 by real-time RT-PCR. Participants who were admitted to ICU were analyzed for this outcome.

ArmMeasureValue (MEAN)Dispersion
Motavizumab 30 mg/kgDuration of ICU Stay During RSV Hospitalization7.3 DaysStandard Deviation 4.6
Motavizumab 100 mg/kgDuration of ICU Stay During RSV Hospitalization5.0 DaysStandard Deviation 4
Secondary

Duration of Mechanical Ventilation During RSV Hospitalization

Duration of mechanical ventilation during RSV hospitalization is reported.

Time frame: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

Population: RSV evaluable population included all participants who were RSV positive at Study Day 0 by real-time RT-PCR. Participants who received mechanical ventilation during RSV hospitalization were analyzed for this outcome.

ArmMeasureValue (MEAN)Dispersion
Motavizumab 30 mg/kgDuration of Mechanical Ventilation During RSV Hospitalization7.81 DaysStandard Deviation 0.88
Motavizumab 100 mg/kgDuration of Mechanical Ventilation During RSV Hospitalization4.64 DaysStandard Deviation 2.3
Secondary

Duration of RSV Hospitalization

Duration of RSV hospitalization is reported.

Time frame: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

Population: RSV evaluable population included all participants who were RSV positive at Study Day 0 by real-time RT-PCR.

ArmMeasureValue (MEAN)Dispersion
PlaceboDuration of RSV Hospitalization3.55 DaysStandard Deviation 2.43
Motavizumab 30 mg/kgDuration of RSV Hospitalization3.98 DaysStandard Deviation 3.01
Motavizumab 100 mg/kgDuration of RSV Hospitalization4.46 DaysStandard Deviation 4.33
Secondary

Duration of Supplemental Oxygen Use During RSV Hospitalization

Duration of supplemental oxygen use during RSV hospitalization is reported.

Time frame: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

Population: RSV evaluable population included all participants who were RSV positive at Study Day 0 by real-time RT-PCR. Participants who received supplemental oxygen during RSV hospitalization were analyzed for this outcome.

ArmMeasureValue (MEAN)Dispersion
PlaceboDuration of Supplemental Oxygen Use During RSV Hospitalization3.5 DaysStandard Deviation 1.8
Motavizumab 30 mg/kgDuration of Supplemental Oxygen Use During RSV Hospitalization4.1 DaysStandard Deviation 2.8
Motavizumab 100 mg/kgDuration of Supplemental Oxygen Use During RSV Hospitalization4.4 DaysStandard Deviation 4.1
Secondary

Heart Rate During RSV Hospitalization

Heart rate during RSV hospitalization is reported.

Time frame: Days 0, 1, 2, 3, 7, and 30

Population: RSV evaluable population included all participants who were RSV positive at Study Day 0 by real-time RT-PCR. Here, 'Number Analyzed' denotes those participants who were evaluable at the specific time point.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboHeart Rate During RSV HospitalizationDay 0148.6 Beats per minuteStandard Deviation 17.8
PlaceboHeart Rate During RSV HospitalizationDay 1146.0 Beats per minuteStandard Deviation 18
PlaceboHeart Rate During RSV HospitalizationDay 2141.2 Beats per minuteStandard Deviation 11.9
PlaceboHeart Rate During RSV HospitalizationDay 3138.6 Beats per minuteStandard Deviation 14.8
PlaceboHeart Rate During RSV HospitalizationDay 7139.6 Beats per minuteStandard Deviation 14.8
PlaceboHeart Rate During RSV HospitalizationDay 30139.6 Beats per minuteStandard Deviation 13.4
Motavizumab 30 mg/kgHeart Rate During RSV HospitalizationDay 30140.3 Beats per minuteStandard Deviation 13.8
Motavizumab 30 mg/kgHeart Rate During RSV HospitalizationDay 0155.6 Beats per minuteStandard Deviation 19.5
Motavizumab 30 mg/kgHeart Rate During RSV HospitalizationDay 3140.7 Beats per minuteStandard Deviation 14.8
Motavizumab 30 mg/kgHeart Rate During RSV HospitalizationDay 7141.4 Beats per minuteStandard Deviation 20.2
Motavizumab 30 mg/kgHeart Rate During RSV HospitalizationDay 1145.9 Beats per minuteStandard Deviation 14.6
Motavizumab 30 mg/kgHeart Rate During RSV HospitalizationDay 2139.6 Beats per minuteStandard Deviation 15.1
Motavizumab 100 mg/kgHeart Rate During RSV HospitalizationDay 1145.9 Beats per minuteStandard Deviation 17.3
Motavizumab 100 mg/kgHeart Rate During RSV HospitalizationDay 2136.6 Beats per minuteStandard Deviation 17.3
Motavizumab 100 mg/kgHeart Rate During RSV HospitalizationDay 30137.1 Beats per minuteStandard Deviation 13
Motavizumab 100 mg/kgHeart Rate During RSV HospitalizationDay 3143.3 Beats per minuteStandard Deviation 17.4
Motavizumab 100 mg/kgHeart Rate During RSV HospitalizationDay 0157.6 Beats per minuteStandard Deviation 17
Motavizumab 100 mg/kgHeart Rate During RSV HospitalizationDay 7143.5 Beats per minuteStandard Deviation 15.9
Secondary

Number of Participants Admitted to the Intensive Care Unit (ICU)

Number of participants admitted to ICU is reported.

Time frame: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

Population: RSV evaluable population included all participants who were RSV positive at Study Day 0 by real-time RT-PCR. Participants with hospitalization information available were analyzed for this outcome.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants Admitted to the Intensive Care Unit (ICU)0 Participants
Motavizumab 30 mg/kgNumber of Participants Admitted to the Intensive Care Unit (ICU)3 Participants
Motavizumab 100 mg/kgNumber of Participants Admitted to the Intensive Care Unit (ICU)3 Participants
Secondary

Number of Participants on Mechanical Ventilation During RSV Hospitalization

Number of participants on mechanical ventilation during RSV hospitalization is reported.

Time frame: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

Population: RSV evaluable population included all participants who were RSV positive at Study Day 0 by real-time RT-PCR. Participants with hospitalization information available were analyzed for this outcome.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants on Mechanical Ventilation During RSV Hospitalization0 Participants
Motavizumab 30 mg/kgNumber of Participants on Mechanical Ventilation During RSV Hospitalization2 Participants
Motavizumab 100 mg/kgNumber of Participants on Mechanical Ventilation During RSV Hospitalization2 Participants
Secondary

Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEs

Time frame: From the start of study drug (Day 0) through Day 30

Population: Safety population included all the participants who received any dose of study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHypercalcaemia0 Participants
PlaceboNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsThrombocythaemia1 Participants
PlaceboNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHypernatraemia1 Participants
PlaceboNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHypokalaemia0 Participants
PlaceboNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsPlatelet count increased0 Participants
PlaceboNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHypoalbuminaemia0 Participants
PlaceboNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsLiver function test abnormal0 Participants
PlaceboNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsBlood urea increased0 Participants
PlaceboNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHyperkalaemia0 Participants
PlaceboNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsAnaemia1 Participants
PlaceboNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHyperphosphatasaemia1 Participants
Motavizumab 30 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsPlatelet count increased1 Participants
Motavizumab 30 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHypoalbuminaemia1 Participants
Motavizumab 30 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsBlood urea increased0 Participants
Motavizumab 30 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsLiver function test abnormal1 Participants
Motavizumab 30 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsAnaemia3 Participants
Motavizumab 30 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsThrombocythaemia0 Participants
Motavizumab 30 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHypokalaemia1 Participants
Motavizumab 30 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHypercalcaemia1 Participants
Motavizumab 30 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHyperkalaemia1 Participants
Motavizumab 30 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHypernatraemia0 Participants
Motavizumab 30 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHyperphosphatasaemia0 Participants
Motavizumab 100 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHypernatraemia0 Participants
Motavizumab 100 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHypercalcaemia0 Participants
Motavizumab 100 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsLiver function test abnormal0 Participants
Motavizumab 100 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHypoalbuminaemia0 Participants
Motavizumab 100 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHyperkalaemia0 Participants
Motavizumab 100 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsBlood urea increased1 Participants
Motavizumab 100 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsPlatelet count increased0 Participants
Motavizumab 100 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsThrombocythaemia1 Participants
Motavizumab 100 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHyperphosphatasaemia0 Participants
Motavizumab 100 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsHypokalaemia1 Participants
Motavizumab 100 mg/kgNumber of Participants With Clinical Laboratory Abnormalities Reported as TEAEsAnaemia1 Participants
Secondary

Number of Participants With Detectable Anti-motavizumab Antibodies

Number of participants with detectable anti-motavizumab antibodies are reported. Detection is defined as an anti-motavizumab antibody titer with a dilution value of 1:30 or greater.

Time frame: Days 0, 180, and 360

Population: Evaluable population for anti-drug antibody included all participants who received a full dose of study drug. Participants with adequate anti-motavizumab antibody titer samples at the specified time points were analyzed for this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Detectable Anti-motavizumab AntibodiesDay 01 Participants
PlaceboNumber of Participants With Detectable Anti-motavizumab AntibodiesDay 18011 Participants
PlaceboNumber of Participants With Detectable Anti-motavizumab AntibodiesDay 36021 Participants
Motavizumab 30 mg/kgNumber of Participants With Detectable Anti-motavizumab AntibodiesDay 01 Participants
Motavizumab 30 mg/kgNumber of Participants With Detectable Anti-motavizumab AntibodiesDay 18010 Participants
Motavizumab 30 mg/kgNumber of Participants With Detectable Anti-motavizumab AntibodiesDay 36014 Participants
Secondary

Number of Participants With Medically-attended Wheezing Episodes

Wheezing episodes are considered medically-attended wheezing episodes if the medical care provider verifies and documents wheezing in the medical record or, in the case of hospitalization, the medical care provider assigns a discharge diagnosis of asthma, bronchiolitis, wheezing, or reactive airway disease. A new wheezing episode is the one that occurs for more than 2 weeks after the diagnosis of the previous episode and the medical opinion is that the wheezing does not represent a persistence of the previous episode. Medically-attended wheezing episodes were calculated and reported in the range of 0 to 9 events.

Time frame: From randomization (Day 0) through Day 360 (approximately 12 months)

Population: RSV evaluable population included all participants who were RSV positive at Study Day 0 by real-time RT-PCR.

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Medically-attended Wheezing Episodes0 event2 Participants
PlaceboNumber of Participants With Medically-attended Wheezing Episodes1 event19 Participants
PlaceboNumber of Participants With Medically-attended Wheezing Episodes2 events9 Participants
PlaceboNumber of Participants With Medically-attended Wheezing Episodes3 events1 Participants
PlaceboNumber of Participants With Medically-attended Wheezing Episodes4 events2 Participants
PlaceboNumber of Participants With Medically-attended Wheezing Episodes5 events2 Participants
PlaceboNumber of Participants With Medically-attended Wheezing Episodes6 events2 Participants
PlaceboNumber of Participants With Medically-attended Wheezing Episodes7 events0 Participants
PlaceboNumber of Participants With Medically-attended Wheezing Episodes8 events0 Participants
PlaceboNumber of Participants With Medically-attended Wheezing Episodes9 events0 Participants
Motavizumab 30 mg/kgNumber of Participants With Medically-attended Wheezing Episodes8 events0 Participants
Motavizumab 30 mg/kgNumber of Participants With Medically-attended Wheezing Episodes0 event0 Participants
Motavizumab 30 mg/kgNumber of Participants With Medically-attended Wheezing Episodes5 events3 Participants
Motavizumab 30 mg/kgNumber of Participants With Medically-attended Wheezing Episodes4 events4 Participants
Motavizumab 30 mg/kgNumber of Participants With Medically-attended Wheezing Episodes1 event20 Participants
Motavizumab 30 mg/kgNumber of Participants With Medically-attended Wheezing Episodes9 events1 Participants
Motavizumab 30 mg/kgNumber of Participants With Medically-attended Wheezing Episodes7 events0 Participants
Motavizumab 30 mg/kgNumber of Participants With Medically-attended Wheezing Episodes2 events6 Participants
Motavizumab 30 mg/kgNumber of Participants With Medically-attended Wheezing Episodes6 events1 Participants
Motavizumab 30 mg/kgNumber of Participants With Medically-attended Wheezing Episodes3 events4 Participants
Motavizumab 100 mg/kgNumber of Participants With Medically-attended Wheezing Episodes7 events0 Participants
Motavizumab 100 mg/kgNumber of Participants With Medically-attended Wheezing Episodes3 events4 Participants
Motavizumab 100 mg/kgNumber of Participants With Medically-attended Wheezing Episodes4 events3 Participants
Motavizumab 100 mg/kgNumber of Participants With Medically-attended Wheezing Episodes5 events2 Participants
Motavizumab 100 mg/kgNumber of Participants With Medically-attended Wheezing Episodes8 events0 Participants
Motavizumab 100 mg/kgNumber of Participants With Medically-attended Wheezing Episodes6 events0 Participants
Motavizumab 100 mg/kgNumber of Participants With Medically-attended Wheezing Episodes0 event2 Participants
Motavizumab 100 mg/kgNumber of Participants With Medically-attended Wheezing Episodes9 events0 Participants
Motavizumab 100 mg/kgNumber of Participants With Medically-attended Wheezing Episodes1 event18 Participants
Motavizumab 100 mg/kgNumber of Participants With Medically-attended Wheezing Episodes2 events7 Participants
Secondary

Number of Participants With Supplemental Oxygen Use During RSV Hospitalization

Number of participants with supplemental oxygen use during RSV hospitalization is reported.

Time frame: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

Population: RSV evaluable population included all participants who were RSV positive at Study Day 0 by real-time RT-PCR. Participants with hospitalization information available were analyzed for this outcome.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Supplemental Oxygen Use During RSV Hospitalization24 Participants
Motavizumab 30 mg/kgNumber of Participants With Supplemental Oxygen Use During RSV Hospitalization30 Participants
Motavizumab 100 mg/kgNumber of Participants With Supplemental Oxygen Use During RSV Hospitalization29 Participants
Secondary

Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)

An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. The TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug.

Time frame: From the start of study drug (Day 0) through Day 90

Population: Safety population included all the participants who received any dose of study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)Any TEAEs33 Participants
PlaceboNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)Any TESAEs6 Participants
Motavizumab 30 mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)Any TEAEs28 Participants
Motavizumab 30 mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)Any TESAEs6 Participants
Motavizumab 100 mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)Any TEAEs32 Participants
Motavizumab 100 mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)Any TESAEs7 Participants
Secondary

Oxygen Saturation Level During RSV Hospitalization

Oxygen saturation level during RSV hospitalization is reported.

Time frame: Days 0, 1, 2, 3, 7, and 30

Population: RSV evaluable population included all participants who were RSV positive at Study Day 0 by real-time RT-PCR. Here, 'Number Analyzed' denotes those participants who were evaluable at the specific time point.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboOxygen Saturation Level During RSV HospitalizationDay 096.8 Percentage of oxygen saturationStandard Deviation 2.5
PlaceboOxygen Saturation Level During RSV HospitalizationDay 197.3 Percentage of oxygen saturationStandard Deviation 2.3
PlaceboOxygen Saturation Level During RSV HospitalizationDay 296.9 Percentage of oxygen saturationStandard Deviation 2.4
PlaceboOxygen Saturation Level During RSV HospitalizationDay 397.7 Percentage of oxygen saturationStandard Deviation 1.8
PlaceboOxygen Saturation Level During RSV HospitalizationDay 797.6 Percentage of oxygen saturationStandard Deviation 1.9
PlaceboOxygen Saturation Level During RSV HospitalizationDay 3097.9 Percentage of oxygen saturationStandard Deviation 1.7
Motavizumab 30 mg/kgOxygen Saturation Level During RSV HospitalizationDay 3098.1 Percentage of oxygen saturationStandard Deviation 1.8
Motavizumab 30 mg/kgOxygen Saturation Level During RSV HospitalizationDay 097.5 Percentage of oxygen saturationStandard Deviation 1.9
Motavizumab 30 mg/kgOxygen Saturation Level During RSV HospitalizationDay 397.6 Percentage of oxygen saturationStandard Deviation 1.7
Motavizumab 30 mg/kgOxygen Saturation Level During RSV HospitalizationDay 797.8 Percentage of oxygen saturationStandard Deviation 1.4
Motavizumab 30 mg/kgOxygen Saturation Level During RSV HospitalizationDay 198.1 Percentage of oxygen saturationStandard Deviation 1.6
Motavizumab 30 mg/kgOxygen Saturation Level During RSV HospitalizationDay 297.3 Percentage of oxygen saturationStandard Deviation 2.1
Motavizumab 100 mg/kgOxygen Saturation Level During RSV HospitalizationDay 197.2 Percentage of oxygen saturationStandard Deviation 2.1
Motavizumab 100 mg/kgOxygen Saturation Level During RSV HospitalizationDay 297.5 Percentage of oxygen saturationStandard Deviation 2
Motavizumab 100 mg/kgOxygen Saturation Level During RSV HospitalizationDay 3098.5 Percentage of oxygen saturationStandard Deviation 1.3
Motavizumab 100 mg/kgOxygen Saturation Level During RSV HospitalizationDay 397.4 Percentage of oxygen saturationStandard Deviation 2.3
Motavizumab 100 mg/kgOxygen Saturation Level During RSV HospitalizationDay 097.1 Percentage of oxygen saturationStandard Deviation 3.1
Motavizumab 100 mg/kgOxygen Saturation Level During RSV HospitalizationDay 797.6 Percentage of oxygen saturationStandard Deviation 2.3
Secondary

Respiratory Assessment Change Score (RACS) Derived From Baseline

The RACS assesses changes in wheezing and retractions as measured by respiratory distress assessment instrument (RDAI) score and changes in respiratory rate. A RDAI score is a measure of the degree of severity of wheezing and retractions, with score range from 0 to 17; higher scores indicate more severe disease. Respiratory rate is summarized by raw scores and standardized change score. A change in respiratory rate of less than or equal to (\<=) 5% from baseline is counted as a change of 0 units and a change in respiratory rate is assigned 1 point per each 10% change in the respiratory rate. The RACS is calculated as arithmetic sum of RDAI score change and of standardized respiratory rate change (for example, a child showing improvement who had a RDAI of -5 and a respiratory rate change of -2 would have a RACS score of -7). The RACS assessment does not have a minimum and/or maximum scale range. A decrease in RACS represents improvement, whereas an increase signifies deterioration.

Time frame: Baseline (Day 0), Days 1, 2, 3, 7, and 30

Population: RSV evaluable population included all participants who were RSV positive at Study Day 0 by real-time RT-PCR. Here, 'Number Analyzed' denotes those participants who were evaluable at the specific time point.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboRespiratory Assessment Change Score (RACS) Derived From BaselineDay 7-5.70 Units on a scoreStandard Deviation 5.4
PlaceboRespiratory Assessment Change Score (RACS) Derived From BaselineDay 3-4.29 Units on a scoreStandard Deviation 5.45
PlaceboRespiratory Assessment Change Score (RACS) Derived From BaselineDay 1-1.81 Units on a scoreStandard Deviation 5.05
PlaceboRespiratory Assessment Change Score (RACS) Derived From BaselineDay 2-2.14 Units on a scoreStandard Deviation 5.2
PlaceboRespiratory Assessment Change Score (RACS) Derived From BaselineDay 30-6.00 Units on a scoreStandard Deviation 5.51
Motavizumab 30 mg/kgRespiratory Assessment Change Score (RACS) Derived From BaselineDay 3-5.49 Units on a scoreStandard Deviation 4.53
Motavizumab 30 mg/kgRespiratory Assessment Change Score (RACS) Derived From BaselineDay 1-1.36 Units on a scoreStandard Deviation 4.47
Motavizumab 30 mg/kgRespiratory Assessment Change Score (RACS) Derived From BaselineDay 2-3.51 Units on a scoreStandard Deviation 4.72
Motavizumab 30 mg/kgRespiratory Assessment Change Score (RACS) Derived From BaselineDay 7-6.94 Units on a scoreStandard Deviation 4.89
Motavizumab 30 mg/kgRespiratory Assessment Change Score (RACS) Derived From BaselineDay 30-7.14 Units on a scoreStandard Deviation 4.88
Motavizumab 100 mg/kgRespiratory Assessment Change Score (RACS) Derived From BaselineDay 30-7.79 Units on a scoreStandard Deviation 4.01
Motavizumab 100 mg/kgRespiratory Assessment Change Score (RACS) Derived From BaselineDay 7-6.18 Units on a scoreStandard Deviation 5.23
Motavizumab 100 mg/kgRespiratory Assessment Change Score (RACS) Derived From BaselineDay 1-2.11 Units on a scoreStandard Deviation 4.58
Motavizumab 100 mg/kgRespiratory Assessment Change Score (RACS) Derived From BaselineDay 3-5.41 Units on a scoreStandard Deviation 5.11
Motavizumab 100 mg/kgRespiratory Assessment Change Score (RACS) Derived From BaselineDay 2-3.61 Units on a scoreStandard Deviation 5.02
Secondary

Respiratory Rate During RSV Hospitalization

Respiratory rate during RSV hospitalization is reported.

Time frame: Days 0, 1, 2, 3, 7, and 30

Population: RSV evaluable population included all participants who were RSV positive at Study Day 0 by real-time RT-PCR. Here, 'Number Analyzed' denotes those participants who were evaluable at the specific time point.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboRespiratory Rate During RSV HospitalizationDay 046.86 Breaths per minuteStandard Deviation 10.2
PlaceboRespiratory Rate During RSV HospitalizationDay 144.35 Breaths per minuteStandard Deviation 11.88
PlaceboRespiratory Rate During RSV HospitalizationDay 246.46 Breaths per minuteStandard Deviation 9.05
PlaceboRespiratory Rate During RSV HospitalizationDay 343.03 Breaths per minuteStandard Deviation 9.28
PlaceboRespiratory Rate During RSV HospitalizationDay 741.76 Breaths per minuteStandard Deviation 9.06
PlaceboRespiratory Rate During RSV HospitalizationDay 3038.45 Breaths per minuteStandard Deviation 6.73
Motavizumab 30 mg/kgRespiratory Rate During RSV HospitalizationDay 3041.11 Breaths per minuteStandard Deviation 12.81
Motavizumab 30 mg/kgRespiratory Rate During RSV HospitalizationDay 049.28 Breaths per minuteStandard Deviation 8.93
Motavizumab 30 mg/kgRespiratory Rate During RSV HospitalizationDay 340.54 Breaths per minuteStandard Deviation 8.54
Motavizumab 30 mg/kgRespiratory Rate During RSV HospitalizationDay 740.14 Breaths per minuteStandard Deviation 9.14
Motavizumab 30 mg/kgRespiratory Rate During RSV HospitalizationDay 148.67 Breaths per minuteStandard Deviation 12.41
Motavizumab 30 mg/kgRespiratory Rate During RSV HospitalizationDay 241.89 Breaths per minuteStandard Deviation 10.76
Motavizumab 100 mg/kgRespiratory Rate During RSV HospitalizationDay 148.00 Breaths per minuteStandard Deviation 14.13
Motavizumab 100 mg/kgRespiratory Rate During RSV HospitalizationDay 244.11 Breaths per minuteStandard Deviation 11.77
Motavizumab 100 mg/kgRespiratory Rate During RSV HospitalizationDay 3038.45 Breaths per minuteStandard Deviation 6.53
Motavizumab 100 mg/kgRespiratory Rate During RSV HospitalizationDay 343.68 Breaths per minuteStandard Deviation 10.81
Motavizumab 100 mg/kgRespiratory Rate During RSV HospitalizationDay 051.78 Breaths per minuteStandard Deviation 11.28
Motavizumab 100 mg/kgRespiratory Rate During RSV HospitalizationDay 743.64 Breaths per minuteStandard Deviation 11.06
Secondary

Serum Concentration of Motavizumab

Motavizumab concentration in serum is reported.

Time frame: Days 1, 7, 90, 180, and 360

Population: Evaluable population for PK included all participants who received a full dose of study drug. Participants with adequate motavizumab concentration in serum at the specified time points were analyzed for this outcome.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboSerum Concentration of MotavizumabDay 7192.87 mcg/mLStandard Deviation 57.07
PlaceboSerum Concentration of MotavizumabDay 1800.64 mcg/mLStandard Deviation 1.41
PlaceboSerum Concentration of MotavizumabDay 9011.39 mcg/mLStandard Deviation 9.35
PlaceboSerum Concentration of MotavizumabDay 3600.04 mcg/mLStandard Deviation 0.26
PlaceboSerum Concentration of MotavizumabDay 1298.73 mcg/mLStandard Deviation 88.99
Motavizumab 30 mg/kgSerum Concentration of MotavizumabDay 3600 mcg/mLStandard Deviation 0
Motavizumab 30 mg/kgSerum Concentration of MotavizumabDay 1863.05 mcg/mLStandard Deviation 240.28
Motavizumab 30 mg/kgSerum Concentration of MotavizumabDay 7640.36 mcg/mLStandard Deviation 95.69
Motavizumab 30 mg/kgSerum Concentration of MotavizumabDay 9030.81 mcg/mLStandard Deviation 23.63
Motavizumab 30 mg/kgSerum Concentration of MotavizumabDay 1802.45 mcg/mLStandard Deviation 3.54

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026